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Common Key Information Memorandum cum Application Form

Common Key Information Memorandum cum Application Form

Common Key Information Memorandum cum Application Form

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TAURUS MUTUAL FUNDSIP / OptiSIP ENROLMENT - CUM - AUTO DEBIT / ECS APPLICATION FORM (Please read instructions carefully before filling up the form) <strong>Application</strong> No.ARN Code & Name Sub-Broker’s ARN Code Employee Unique Identity Number* Internal Code for Sub-broker/Employee Time Stamp (for office use only)Upfront commission shall be paid directly by the investor to the AMFI registered Distributors based on the investors’ assessment of various factors including the service rendered by the distributor. Also refer instruction no.2. Investors subscribing under the “DIRECT” plan of the scheme shouldmention “DIRECT” in the ARN column.EXECUTION ONLY(To be signed when EUIN is left blank)*I/We hereby confirm that the EUIN box has been intentionally left blank by me/us as this is an “execution-only” transaction without any interaction or advice by the employee/relationship manager/sales person of the above distributor ornotwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor and the distributor has not charged any advisory fees on this transaction.Please sign here Please sign here Please sign hereFirst Account Holder/Guardian SignatureSecond Account Holder’s SignatureThird Account Holder’s SignatureRegistration of SIP/ OptiSIP/Micro SIP Cancellation of SIP/OptiSIP/Micro SIP Folio No.Extension of SIP/OptiSIP/Micro SIPREGISTRATION CUM MANDATE FORM FOR AUTO DEBIT / ECS (DEBIT CLEARING)First investment in SIP/Opti SIP/Micro SIP via cheque and subsequent investment via Auto Debit, available in select cities only.INVESTOR AND INVESTMENT DETAILSName of Sole/First ApplicantName of Second ApplicantName of Third ApplicantMr. Ms. M/sMr. Ms.Mr. Ms.SIP / Micro SIPFirst/Initial Investment Cheque NumberAuto Debit/ECS dates (Please 3)AUTHORISATION OF THE BANK ACCOUNT HOLDER (to be signed by account holder as per bank records)This is to inform that I/We have registered for the RBI’s Electronic on Clearing Service (Debit Clearing)/Auto Debit facility and that my payment towards myinvestment in Taurus Mutual Fund shall be made from my/our below mentioned bank account with your bank. I/We authorize the representative carryingthis ECS/Auto Debit account mandate form to get it verified & executed. Mandate verification charges, if any, may be charged to my/our A/C.OptiSIPEnrolment Period Start From M M Y Y End on M M Y Y No. of InstallmentsPARTICULARS OF BANK ACCOUNTFOR BANK USE ONLY (not to be filled in by investor)Recorded onRecorded byBank use mandate Ref. No.Change in Bank Account for an existing investorName of Guardian (for Minor applicant) / POA Holder / Contact person (for Non-indl. Applicant)Mr. Ms.ID & Add Proof Do<strong>cum</strong>ent Name, Sole/First Applicant/ Guardian Second Applicant Third Applicantin case of Micro SIP(Refer Instruction 14)Name of SchemeFixed SIP Amount (`)Frequency Monthly Quarterly1st 5th 10th 15th 28thYYCheque DateDScheme CodeCredit Account No.Customer Ref. No.DPlan/OptionFixed Min. Installment Amt. Frequency MonthlyFixed Max. Installment Amt.M M YI/We hereby, authorize Taurus Mutual Fund and their authorized service providers, to debit my/our following bank account by ECS (Debit CLearing)/auto debit to account for collection of SIP/OptiSIP payments.Name of the Account Holder as in Bank RecordsBank NameBranch AddressBank Account Number(Amount greater than Fixed Min. Installment amountby `500/- & multiple of `1/- thereof)Account Number Account Type Savings Current NRE NRO9 digit MICR Code 11 digit IFSC CodeDeclaration & Signature (s): Having read and understood the contents of the Scheme <strong>Information</strong> Do<strong>cum</strong>ent (SID), Statement of Additional <strong>Information</strong> (SAI) & <strong>Key</strong> <strong>Information</strong> <strong>Memorandum</strong> (KIM) I/We hereby apply for units of the scheme and agree to abide by the terms, conditions, rules andregulations governing the scheme. I/We hereby declare that the amount invested in the scheme is through legitimate sources only and does not involve and is not designed for the purpose of the contravention of any Act, Rules, Regulations, Notifications or Directions of the provisions of the Income Tax Act,Prevention of Money Laundering Act, Prevention of Corruption Act and / or any other applicable laws enacted by the government of India from time to time. I/We have understood the details of the scheme & I/we have not received nor have been induced by any rebate or gifts, directly or indirectly in makingthis investment. Applicable for NRI’s only - I/We confirm that I am/we are Non Residents of Indian Nationality/Origin and that I/we have remitted funds from abroad through approved banking channels or from funds in my/our Non-Resident External /Non-Resident Ordinary /FCNR account. The ARNholder has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to him for the different competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us.I/We confirm that details provided by me/us are true and correct. Please 3 Repatriation basis Non-Repatriation basis * Please strike out whichever is not applicable.Please sign here Please sign here Please sign hereFirst Account Holder/Guardian SignatureSecond Account Holder’s SignatureThird Account Holder’s SignaturePlease sign here Please sign here Please sign hereFirst Account Holder/Guardian SignatureSecond Account Holder’s SignatureThird Account Holder’s SignatureYYYYCityYACKNOWLEDGEMENT SLIP - Micro SIP or SIP / OptiSIP Auto Debit / ECS <strong>Form</strong>TAURUS MUTUAL FUNDReceived from Mr. / Ms. Date :Micro SIP or SIP/OptiSIP Date Cheque No. Amount Scheme/Plan/Option<strong>Application</strong> No.FrequencyMonthlyQuarterly28

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